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AceOfHearts<3

AceOfHearts<3

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  1. AceOfHearts<3

    feeling bad after a rapid response on your patient

    Calm down- you aren’t the only one to feel like this and you certainly won’t be the last. Did your team debrief after this all happened? If not, ask to do so in the future. Do you have EAP available to you? I think most workplaces in the USA offer it and this is exactly what it is there for. You can also reach out to your manager and/or clinical educator if you want to talk about the situation clinically. A chaplain is also a good person to speak with if you just need to voice your feelings. It’s reasonable to initially think about what happened and wonder “what if...?”, but you also have to be able to move past it. Take it as a learning experience and know you’ll be better prepared the next time it happens. You got this! Good luck!
  2. AceOfHearts<3

    What is your procedure for passing ice water?

    I’m in the ICU and if my patient is able and allowed to eat/drink I tend to always bring a fresh cup in with me for morning meds. I never know how long the other stuff has been sitting in the room unless it’s still cold and filled with ice and I certainly don’t like drinking old stale tasting water, so I don’t expect my patients to drink it either. When I worked on the floor our aides took care of it at scheduled times of the day (and obviously as needed). We marked on the water pitcher exactly how much a patient could have at what time if they were fluid restricted.
  3. AceOfHearts<3

    Nurse Charged With Homicide

    I always check the name and dosage on any med. I work in an ICU in the USA and I once pulled an IV antibiotic out of the med room that was labeled for my patient, the correct time was on it, the correct med name was on it etc. but it was NOT the correct med. Pharmacy had put the label on an entirely different antibiotic. I wasn’t impressed with their laissez faire attitude about it. I reported it to my manger with the evidence (the clearly mislabeled med) and filed an event report about it. I check my meds at a computer outside of the patient’s room first, then I take them in and look over them again while scanning (I also say what the med is and why they are getting it- here is your 5mg amlodipine, brand name Norvasc, for your high blood pressure, etc), and another time when I open them. If it’s an IV infusion I also always check that the med matches the infusion info that is programmed into the pumps. We have some meds that the concentration has changed because of manufacturing issues- what may have been in 100ml now might be only in 50ml. If I select the med and strength and go with the pre-programmed information the patient will get the med in 15 minutes instead of the intended 30 minutes (as ordered). I’ve also had it where the next shift left me a new bag on the WOW for a continuous gtt that was running low. I once correctly scanned a med and verified it was correct, but then picked up the wrong one from the WOW. I’m so meticulous with checking the bag, the pump, and my MAR that I caught my mistake. If I had hung the other med and programmed it as the one that I had scanned out the patient in all likelihood would have died. Never leave spare meds on your workstation- it’s a disaster waiting to happen.
  4. AceOfHearts<3

    Nurse Charged With Homicide

    It’s a dangerous and slippery slope. I agree with Emergent- she should lose her license.
  5. AceOfHearts<3

    I don’t know what to say 😩😩😩

    I do all of the above and I quietly tell a family member or two to let me know if they need anything- water, tea, etc. I offer to call the chaplain if they want someone to sit with them. I make sure there are tissues in the room, etc. I also quietly peek in from time to time to see how everyone is doing so they know I haven’t forgotten about them.
  6. AceOfHearts<3

    RN switching specialties....indecisive, unmotivated?

    IR, cath lab, PACU, etc. are all coveted jobs in my area and all require critical care experience- meaning ER or ICU. Correct me if I’m wrong, but the OR RNs are not managing the patient hemodynamically- that is anesthesia’s job. The OP has no real bedside experience managing multiple patients and that might be the issue. Also, it takes quite a long orientation to train a nurse in the OR. That might make managers hesitant to invest in another lengthy orientation period (such as in the icu)- they might wonder if the OP will just jump ship again in 18 months. I’d stay in the OR longer if possible or focus on applying to tele and Med-surg jobs (then once established and time spend there look into transferring to another area like ICU).
  7. AceOfHearts<3

    heparin drips and lab draws

    I have to disagree. I came in one morning and the night shift nurse couldn’t figure out why the patient’s labs came back so out of whack twice. I took over and said I’d figure it out. I walk in to do it and it’s dawned on me- the TPN wasn’t paused. I paused it and drew the BMP which then came back normal. Even with wasting if the TPN isn’t paused it will cause issues in my experience.
  8. AceOfHearts<3

    New Grads in the ICU

    My ICU does not hire new grads straight out. A new grad might be hired for the hospital with the intention of moving them into the ICU, but they have to prove they can be successful on a tele or progressive care unit first.
  9. AceOfHearts<3

    PTSD?

    I've been in an accident as the result of a careless driver. For the most part I'm ok with driving, but driving in the bad weather makes me much more nervous now (and it wasn't even a factor in my accident). I'm ok on highways that I know, but I'm much more nervous when driving at high speeds on highways that I'm not familiar with (and my accident didn't occur on a highway). If it appears someone isn't going to stop (at a light, stop sign, coming out of a parking lot, etc) my heart definitely jumps a bit. I'm so sorry for all that you are going through. There's no describing the sheer terror of knowing you are about to be in an accident and not being able to stop it. My accident totaled my vehicle and put me out of work for months while I recovered (thankfully I didn't have any critical injuries). It has me afraid to partake in some activities I once enjoyed because I am fearful of injuring myself (skiing, ice skating, etc.) and being out of work again. While I'm nervous and avoiding certain high risk activities for the time being, my accident doesn't have a major impact on my daily life. Please speak with your doctor and get a referral to a counselor that specializes in PTSD. If I was unable to drive to work or focus on my job I would be seeking help. I don't let my nerves stop me from going to new places either- I'm just hypervigilant and very thankful for all the new safety features in cars. I feel I'll eventually get back to doing some of the activities I've been avoiding, but I'm giving myself some time. Please take care of yourself. I wish you the best. Safe driving to all, especially with the winter season upon us.
  10. AceOfHearts<3

    Best shoes for 12 hours

    I wear sneakers. I tried Danskos and they aren't for me. I second whah others have said- compression socks or sleeves are a must in my opinion. Amazon has tons of brands and they aren't crazy expensive. Order a couple different brands to see what you like the most.
  11. AceOfHearts<3

    How do you deal with angry/upset with patients?

    Sometimes the patient just wants and needs to be heard. In morning hand off one day I was pretty much told good luck and that I was going to have a rough day with a particular patient. The patient was upset about something that should have been handled days before I had them and they had every right to be upset. I listened to them and told them I completely understood where they were coming from. I apologized that the issue hadn't been addressed properly and told them I would do what I could. I wasn't on my home unit, so later in the morning I introduced myself to the manager, told them the situation, and also said I thought she should personally speak with the patient. The next time I rounded on the patient I couldn't believe the change. My grumpy patient was much happier, so respectful, and thanked me for having the manger stop by. The issue hadn't even been resolved at that point- just being truly listened to made all the difference. I'm also happy to say that the issue was resolved by the afternoon because the manager got the proper people working on it. Sometimes things don't work out so nicely and that's ok too. The important thing to remember is to stay calm and unemotional. It's also perfectly alright to tell a patient "I'm here to help you and I don't deserve to be treated/spoken to like this".
  12. AceOfHearts<3

    Keep M-F Endo or leave for CCU 12's?

    It's a big decision to make. Going back to three 12's will be hard and take some getting used to, and is even really hard when you are used to it sometimes. I just had three brutal shifts in a row in my ICU and needed today to recover from them. I finally dragged myself out of bed in the late morning and took care of a few things on the computer and phone, but just vegged for the most part today. I had a lot of other things to get done today, but I listened to what my body was telling me it needed.
  13. AceOfHearts<3

    November 22, 1963

    I was recently there myself. There is a very wise quote by JFK outside in the grassy park area in the vicinity of where he was shot. I never hear my family talk about the assassination. I remember where I was when the Twin Towers were hit. I was in my 2nd period French class when another teacher came in and told us to turn on the TV because a plane had flew into one of the towers. We turned the tv on just in time to see the second tower be hit. It was horrible turning the TV on for days and weeks later- I live on the East coast and there were so many pleas from people looking for missing family or any info, which was simply heart breaking.
  14. AceOfHearts<3

    Places with most demand for RNs??

    Wilkes Barre/Scranton area.
  15. AceOfHearts<3

    Blazer to a nurse extern interview?

    Totally didn't pay arttention to the OPs username and I realize my comment was targeted towards females my apologies to the men. If a male doesn't have a blazer I think a button up shirt with a tie is appropriate (equivalent to a blouse and sweater for a female).
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